Diagnosis and Treatment of Patients with Acute Cerebral Ischemia Using Stroke MRI
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- UNO Masaaki
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- SATOMI Junichiro
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- SUZUE Atsuhiko
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- NAKAJIMA Norio
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- SATOH Koichi
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- NAGAHIRO Shinji
- Department of Neurosurgery, School of Medicine, The University of Tokushima
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- YONEDA Kazuhide
- Department of Radiology, School of Medicine, The University of Tokushima
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- MORITA Naomi
- Department of Radiology, School of Medicine, The University of Tokushima
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- HARADA Masafumi
- Department of Radiology, School of Medicine, The University of Tokushima
Bibliographic Information
- Other Title
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- 急性期脳虚血発作の治療 Ｓｔｒｏｋｅ ＭＲＩによる急性期脳虚血の診断と治療
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Description
Between November 1999 and September 2002, 175 patients with acute cerebral infarction were admitted to our Stroke Care Unit. Stroke MRI (Diffusion-, perfusion- and T2-weighted imaging and MR angiography) was performed for these patients, and we used diffusion/perfusion mismatch for indication of cardiovascular reconstruction. Of 175 patients, 44 were diagnosed as atherothrombotic infarction, 70 as cardioembolic infarction and 57 as lacunar infarction. In 19 patients (27.1%) of cardioembolic infarction and 17 (38.6%) of atherothrombotic infarction, cerebrovascular reconstructions were performed. Although outcome after treatment was good in only 3 of these 19 patients (15.8%) with cardioembolism, outcome was good in 13 of 17 (76.5%) with atherothrombotic infarction.<br> Outcomes of patients with cardioembolic internal carotid occlusion were very poor even if stroke MRI indicated acute thrombolysis, because almost all thrombolysis were failed. In conclusion, stroke MRI accurately diagnosed acute cerebral infarction, and acute and subacute cerebrovascular reconstruction induced good outcome in patients with atherothrombotic infarction.<br>
Journal
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- Surgery for Cerebral Stroke
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Surgery for Cerebral Stroke 32 (4), 262-266, 2004
The Japanese Society on Surgery for Cerebral Stroke
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Keywords
Details 詳細情報について
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- CRID
- 1390282679647663872
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- NII Article ID
- 110003739822
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- NII Book ID
- AN10061756
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- ISSN
- 18804683
- 09145508
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed
